STACY LYNN MITTEL - Pharmacist License in Illinois | # 049139782

STACY LYNN MITTEL

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049139782

License Status

NOT RENEWED

Business

N

First Name

STACY

Middle

LYNN

Last Name

MITTEL

Business Name

STACY LYNN MITTEL

Original Issue Date

01/03/2002

Effective Date

01/03/2002

Expiration Date

03/31/2003

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005